ReviewBrain & spine2026
Ventriculoperitoneal shunt versus transverse sinus stenting in idiopathic intracranial hypertension: A systematic review and meta-analysis.
Review in Brain & spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Idiopathic intracranial hypertension (IIH) is characterized by elevated intracranial pressure with risk of visual impairment. Ventriculoperitoneal shunting (VPS) and transverse sinus stenting (TSS) are commonly used surgical options, but comparative evidence remains limited. Methods: This systematic review and meta-analysis followed PRISMA guidelines and was registered in PROSPERO (CRD420251050247). PubMed, Web of Science, Cochrane CENTRAL, Embase, and Scopus were searched (2000-2025). Adult IIH patients treated with VPS or TSS were included. Random-effects meta-analysis was performed. Results: Seventeen studies were included. Intracranial pressure reduction was significant following TSS (SMD -4.58; 95% CI: -5.72 to -3.44; Conclusion: VPS and TSS provide comparable clinical outcomes in IIH. TSS demonstrated numerically lower revision rates, although without statistical significance. These findings should be interpreted cautiously because the available evidence is derived predominantly from non-randomized, indirect comparisons with substantial indication bias, and the treatment groups likely differed systematically at baseline. Prospective phenotype-guided comparative studies are needed to better define the optimal surgical strategy.
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Registered trials
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